Laserfiche WebLink
Renewal Auto Policy Declarations MERCURY <br /> To report a claim please call (800)503-3724 INSURANCE <br /> Policy Period Policy Number <br /> From: 11/05/2024 12:01 AM CAAP0000678616 <br /> To: 05/05/2025 12:01 AM <br /> Standard time at the address of the Named Insured <br /> Agent Company <br /> PTL INS.BROKERS,INC.#(042984) Mercury Insurance Company <br /> P.O.BOX 4155 P.O.BOX 10730 <br /> COVINA,CA 91723 SANTA ANA,CA 92711-0730 <br /> (626)967-9581 <br /> Named Insured <br /> EVELYN HILL ENRIQUEZ <br /> 858 KINBRAE AVE <br /> HACIENDA HEIGHTS,CA 91745-1322 <br /> (818)369-4807 <br /> EHILLENRIQUEZ@MTSAC.EDU <br /> Important Information Date Sent:10/08/2024 <br /> We understand the COVID-19 pandemic brought about unprecedented challenges,and we are offering an additional credit <br /> to our customers.The credit has automatically been applied to your policy renewal offer and is reflected in your premium <br /> below. <br /> The enclosed Auto Insurance Renewal Bill and the U-251 IMPORTANT NOTICE are part of this policy. These specify the <br /> amount of your premium,your payment options,any applicable fees,and the due date.Your automobile insurance expires <br /> and coverage ceases at 12:01 AM on 11/05/2024.Coverage under this policy will become effective provided you pay the <br /> premium and any applicable fees as indicated on the Auto Insurance Renewal Bill.If you have any questions,please contact <br /> your agent at the phone number provided above. <br /> This Declaration provides only a summary of coverage.All coverage is subject to the terms,conditions,and exclusions of <br /> the policy contract. <br /> Discounts <br /> 2015 VOLKSWAGEN PASSAT S#81556-Exceptional Driver,Good Driver,Group Discount,Multi-Car,Multi-Policy <br /> 2017 AIRSTREAM TRAILER#37338-Exceptional Driver,Good Driver <br /> 2019 NISSAN LEAF S PLUS SL P#09364-Exceptional Driver,Good Driver,Group Discount,Multi-Car,Multi-Policy <br /> 2006 CHRYSLER TOWN&COUNTRY#07953-Exceptional Driver,Good Driver,Group Discount,Multi-Car,Multi-Policy <br /> 2021 NISSAN ARMADA PLATINUM#70532-Exceptional Driver,Good Driver,Group Discount,Multi-Car,Multi-Policy <br /> Listed Drivers <br /> EVELYN HILL ENRIQUEZ-Years License Experience:51 <br /> LUIS M ENRIQUEZ-Years License Experience:49 <br /> MICHAEL ENRIQUEZ-Years License Experience:19 <br /> Excluded Drivers <br /> None <br /> The Designated Excluded Drivers—Coverage Exclusion is applicable to all coverages,including but not limited to,liability <br /> and uninsured motorists,provided now or later.It is agreed that the insurance afforded by this policy shall not apply nor <br /> accrue to the benefit of any insured or any third-party claimant when any motor vehicle is being used or operated by an <br /> Excluded Driver designated above, regardless of where the person resides or whether the person is licensed to drive. <br /> Please refer to the terms of your auto policy. <br /> Page 1 of 4 <br /> U-176 CA 03/2023 <br />